Vickers, Edward Dee
Vickers, Edward Dee is an individual health care provider with primary practice located at 1116 Billy Martin Rd , Avon Park FL 33825-4858. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vickers, Edward Dee can be contacted via phone (863) 453-0684.Contact Information
Primary practice address
1116 Billy Martin Rd
Avon Park FL 33825-4858
Phone: (863) 453-0684
Fax: (863) 453-2873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 5189 | Florida |
Profile Details
| NPI number | 1356310445 |
|---|---|
| LBN Legal business name | Vickers, Edward Dee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 29th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356310445 | NPPES |
| Florida | MEDICAID | 380135700 |
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